目的探讨拖入式回结肠新膀胱术的临床疗效.方法采用后尿道黏膜电切的根治性膀胱切除,子宫圆韧带悬吊的拖入式回结肠新膀胱术,治疗三角区浸润性膀胱癌5例.结果5例随访6～26个月.拔导尿管2、3周后,白天均可自主控制排尿;术后3个月4例无夜...目的探讨拖入式回结肠新膀胱术的临床疗效.方法采用后尿道黏膜电切的根治性膀胱切除,子宫圆韧带悬吊的拖入式回结肠新膀胱术,治疗三角区浸润性膀胱癌5例.结果5例随访6～26个月.拔导尿管2、3周后,白天均可自主控制排尿;术后3个月4例无夜间遗尿;术后1 a 1例仍有少量夜间遗尿.4例术后6个月尿动力学检查膀胱容量371～447 mL,最大尿流率10.2～13.9mL/s,剩余尿量10～25 mL,尿道闭合压明显大于充盈期膀胱压力.复查血清电解质、肾功能正常,IVU检查及新膀胱造影未见积水与反流.膀胱镜下见膀胱颈平滑宽敞,后唇无抬高,无尿道肿瘤复发.结论拖入式回结肠新膀胱术方法简单有效,随诊排尿控尿满意,尿道无肿瘤复发,是治疗女性膀胱三角区浸润性膀胱癌的一种值得选择的原位新膀胱术式.展开更多
Congenital absence of the cruciate ligaments is an extremely rare condition with a prevalence of 0.017 per 1000 live births. Niebauer and King first reported this disease in 1960, and after that, similar cases have be...Congenital absence of the cruciate ligaments is an extremely rare condition with a prevalence of 0.017 per 1000 live births. Niebauer and King first reported this disease in 1960, and after that, similar cases have been reported. These cases are usually associated with other deformities of the knee joint, such as the joint dislocation, absence of the tibial intercondylar eminence, deformity of the meniscus, dysplasia of the distal femur, etc.3 However, its association with multiple congenital abnormalities in other areas of the body has been rarely reported. Here, we report a patient with congenital deficiency of bilateral anterior cruciate ligaments associated with scoliosis and hip dysplasia, together with the result of four years follow-up along with a literature review.展开更多
文摘目的探讨拖入式回结肠新膀胱术的临床疗效.方法采用后尿道黏膜电切的根治性膀胱切除,子宫圆韧带悬吊的拖入式回结肠新膀胱术,治疗三角区浸润性膀胱癌5例.结果5例随访6～26个月.拔导尿管2、3周后,白天均可自主控制排尿;术后3个月4例无夜间遗尿;术后1 a 1例仍有少量夜间遗尿.4例术后6个月尿动力学检查膀胱容量371～447 mL,最大尿流率10.2～13.9mL/s,剩余尿量10～25 mL,尿道闭合压明显大于充盈期膀胱压力.复查血清电解质、肾功能正常,IVU检查及新膀胱造影未见积水与反流.膀胱镜下见膀胱颈平滑宽敞,后唇无抬高,无尿道肿瘤复发.结论拖入式回结肠新膀胱术方法简单有效,随诊排尿控尿满意,尿道无肿瘤复发,是治疗女性膀胱三角区浸润性膀胱癌的一种值得选择的原位新膀胱术式.
文摘Congenital absence of the cruciate ligaments is an extremely rare condition with a prevalence of 0.017 per 1000 live births. Niebauer and King first reported this disease in 1960, and after that, similar cases have been reported. These cases are usually associated with other deformities of the knee joint, such as the joint dislocation, absence of the tibial intercondylar eminence, deformity of the meniscus, dysplasia of the distal femur, etc.3 However, its association with multiple congenital abnormalities in other areas of the body has been rarely reported. Here, we report a patient with congenital deficiency of bilateral anterior cruciate ligaments associated with scoliosis and hip dysplasia, together with the result of four years follow-up along with a literature review.
